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Date <br /> FORUM HSNZEACXSet up time I(po S <br /> GRO'TINf��.AM S�PtWGs9 x Weather c��..� coldL <br /> F LVNOT=$1; RNWC 33W70 Samplers <br /> WELL # MW-1 <br />' HISTORIC CONCENTRATIONS <br /> Location Construction Depth 15'bgs <br />' Construction 2 inch pvc/ Depth to Packer til. <br /> Groundwater Zone Pump Intake VA <br /> Screened Interval 5-15bgs Measured Depth �VA- <br /> Purge Setting Discharge Refill Depth to Water �. 5-3 <br /> Sample Setting Discharge Height of Water Column <br /> Volume of one casing / 73 <br /> Packer Pressure <br />' Purge Start Tune Purge calculations <br /> Discharge Rate A--* 8,ci`l ft x 163 gals / ft x3= <br /> Purge End Tune 41 IY gallons <br /> Time Gallons Temp of pH ECS Water clarity <br /> 7_ SG , <br /> dol/ Z Z e %.k ff <br /> ! 3 3 / <br /> !fo( Co3. • -YM it <br /> iANALYSES REQUIRED SAMPLE TIME CONTAINER TYPE FILTRATION? <br /> BT-XA <br /> FIELD OBSERVATIONS(Well condition,repairs needed) J <br />' PID reading when well cap opened AM Disposal method of purge water'_4c-ru&"rh.Vk <br /> Dissolved Oxygen reading N 4 Decontamination procedure None/ lconox-DI Rinse <br />' Turbidity Measurement- A14 <br /> . Other notes <br />' Sampler Signature(s) <br />